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Form 2903
Repartment of and Wabar
NATURALIZATION SERVICE
TRIPLICATE
No. 3852
making
the
Declaration)
STATES OF
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
STATE-OF.CALIFORJNI.A
In the
SUPERIOR Court
Caunty of Los Angeles
ss:
The State of California.
31, Amelia Steiner
of
in and for Los Angeles County.
, aged
3ct years,
Clerk
occupation is: Color white complexion do
declare on oath that my personal
description
height too 4/anches,
weight 138 pounds, color of hair Dark color of eyes Brown
other none
I was
visible born in distinctive Wintherthy marks Sevitzerland
on the
4
day of
Sept
anno
Domini
877,
reside
at
1182 st It or town, and Los style.) Angeles now Cal
Oil
(Give number, street, city
I emigrated to the lufted States of America from ANTWERP, BELGIUM
on the vessel
Go alleu not remenber name
than
Dame of
transportand
my
last
(fitie
converance or
foreign residence was Wintherthus by Durzerland
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
The Swiss Confederation.
citizen
of whom I am now a subject; I
arrived at the port of
NEW YORK
in the
State of
NEW YORK
on or about the
day
of
may
anno Domini I 892 I am not an anarchist; I am not a
,
polygamist nor a believer in the practice of polygamy; and it is my intention in good faith
to become a citizen of the United States of America and to permanently reside therein
So HELP ME GOD.
Amelia Steiner
(original algnature of declarant.)
Subscribed and sworn to before me this
[SEAL]
day of Oct
,,
anno Domini 191 /
GOUNTY CLERK AND ex OPFICIO CLERK or
If. Court
THE'SUBARIOR COURT IN AND FOR THE COUNTY
By
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Context sent to Scholar
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"ocrText": "Form 2903\nRepartment of and Wabar\nNATURALIZATION SERVICE\nTRIPLICATE\nNo. 3852\nmaking\nthe\nDeclaration)\nSTATES OF\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSTATE-OF.CALIFORJNI.A\nIn the\nSUPERIOR Court\nCaunty of Los Angeles\nss:\nThe State of California.\n31, Amelia Steiner\nof\nin and for Los Angeles County.\n, aged\n3ct years,\nClerk\noccupation is: Color white complexion do\ndeclare on oath that my personal\ndescription\nheight too 4/anches,\nweight 138 pounds, color of hair Dark color of eyes Brown\nother none\nI was\nvisible born in distinctive Wintherthy marks Sevitzerland\non the\n4\nday of\nSept\nanno\nDomini\n877,\nreside\nat\n1182 st It or town, and Los style.) Angeles now Cal\nOil\n(Give number, street, city\nI emigrated to the lufted States of America from ANTWERP, BELGIUM\non the vessel\nGo alleu not remenber name\nthan\nDame of\ntransportand\nmy\nlast\n(fitie\nconverance or\nforeign residence was Wintherthus by Durzerland\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nThe Swiss Confederation.\ncitizen\nof whom I am now a subject; I\narrived at the port of\nNEW YORK\nin the\nState of\nNEW YORK\non or about the\nday\nof\nmay\nanno Domini I 892 I am not an anarchist; I am not a\n,\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\nto become a citizen of the United States of America and to permanently reside therein\nSo HELP ME GOD.\nAmelia Steiner\n(original algnature of declarant.)\nSubscribed and sworn to before me this\n[SEAL]\nday of Oct\n,,\nanno Domini 191 /\nGOUNTY CLERK AND ex OPFICIO CLERK or\nIf. Court\nTHE'SUBARIOR COURT IN AND FOR THE COUNTY\nBy"
}